双向质量反馈护理模式对肝硬化患者生活质量与预后的影响  

Effect of Two-way Quality Feedback Nursing Mode on Quality of Life and Prognosis of Patients with Liver Cirrhosis

作　　者：王茹雪 李航 WANG Ru-xue;LI Hang(Hepatitis Ward of Tianjin Second People's Hospital,Tianjin 300192,China)

机构地区：[1]天津市第二人民医院肝炎病房,天津300192

出　　处：《医学信息》2024年第11期150-153,共4页Journal of Medical Information

摘　　要：目的 研究双向质量反馈护理模式对肝硬化患者生活质量与预后的影响。方法 选取2020年12月-2021年12月天津市第二人民医院收治的116例肝硬化患者,按照随机数字表法分为对照组(58例)与观察组(58例)。对照组采用常规护理,观察组在其基础上应用双向质量反馈护理模式,比较两组护理依从性、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、自我护理能力[自我护理能力测定量表(ESCA)]、生活质量[健康调查简表(SF-36)]、预后评估情况(Child-Pugh改良分级)。结果 观察组护理依从优良率高于对照组(P<0.05)。两组干预后SAS、SDS分数均低于干预前,且观察组SAS、SDS分数低于对照组(P<0.05)。两组干预后ESCA、SF-36分数均高于干预前,且观察组ESCA、SF-36分数高于对照组(P<0.05)。观察组干预后ChildPugh分数低于干预前,且观察组Child-Pugh改良分级分数低于对照组(P<0.05)。结论 双向质量反馈护理模式可提升肝硬化患者的护理依从性,缓解其负性情绪,改善患者的自护能力与生活质量,对其病情预后具有积极影响作用。Objective To study the effect of two-way quality feedback nursing mode on the quality of life and prognosis of patients with liver cirrhosis.Methods A total of 116 patients with liver cirrhosis admitted to Tianjin Second People's Hospital from December 2020 to December 2021 were selected and divided into control group(58 patients)and observation group(58 patients)according to the random number table method.The control group was given routine nursing,and the observation group was given two-way quality feedback nursing mode on the basis of routine nursing.The nursing compliance,negative emotions[Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)],self-care ability[Exercise of Self-care Agency Scale(ESCA)],quality of life[the MOS item short from health survey(SF-36)]and prognosis evaluation(Child-Pugh improved classification)were compared between the two groups.Results The excellent and good rate of nursing compliance in the observation group was higher than that in the control group(P<0.05).The scores of SAS and SDS in the two groups after intervention were lower than those before intervention,and the scores of SAS and SDS in the observation group were lower than those in the control group(P<0.05).The ESCA and SF-36 scores of the two groups after intervention were higher than those before intervention,and the ESCA and SF-36 scores of the observation group were higher than those of the control group(P<0.05).The Child-Pugh score of the observation group after intervention was lower than that before intervention,and the Child-Pugh score of the observation group was lower than that of the control group(P<0.05).Conclusion The two-way quality feedback nursing model can improve the nursing compliance of patients with liver cirrhosis,alleviate their negative emotions,improve their self-care ability and quality of life,and have a positive impact on their prognosis.

关 键 词：肝硬化 双向质量反馈护理模式 生活质量 Child-Pugh分数 护理依从性 

分 类 号：R473.5[医药卫生—护理学]